CARLEY A JACOBS (NPI# 1093993560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093993560 |
| Entity Type | Individual |
| Full Name | CARLEY A JACOBS |
| Credential | PA-C |
| Practice Address |
761 S Main St Woodstock VA 22664-1127 |
| Practice Telephone | 5404595112 |
| Practice Fax Number | 5404593565 |
| Mailing Telephone | 5404595112 |
| Mailing Fax Number | 5404593565 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110002718 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
761 S MAIN ST |
| City | WOODSTOCK |
| State | VA |
| Zip Code | 22664-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461838 | Nancy J Kleinschmidt | Internal Medicine | 761 S Main St, Woodstock, VA 22664-1127 | 2005-07-19 |
| 1588657472 | Candace Clinedinst | Internal Medicine | 761 S Main St, Woodstock, VA 22664-1127 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104310770 | Melissa Weidel | Speech-Language Pathologist | 803 S. Main St., Woodstock, VA 22664 | 2018-06-18 |
| 1942708649 | Magda Lia Bullock | Dietitian, Registered | 759 S. Main Street, Woodstock, VA 22664 | 2018-01-28 |
| 1952813768 | Meredith Miller Stimson | Physical Therapy Assistant | 123 Lakeview Dr., Woodstock, VA 22664 | 2017-11-02 |
| 1316463656 | Julia Elizabeth Romero | Doula | 1163 Dysart Road, Woodstock, VA 22664 | 2017-08-18 |
| 1215476098 | Carina C Cardillo | Physician Assistant | 7559 South Main Street, Suite 310, Woodstock, VA 22664 | 2017-02-14 |
| 1306240411 | National Counseling Group, Inc | Counselor | 505 N Main Street, Suite 101, Woodstock, VA 22664 | 2014-10-17 |
| 1255663555 | Laura S Hernandez-dauer | Dentist | 130 East Reservoir Road, Woodstock, VA 22664 | 2010-02-11 |
| 1891026654 | Lofton Verner Anderson | Counselor | 441 North Main Street, Woodstock, VA 22664 | 2010-01-19 |
| 1912236100 | Crossroads Counseling Center | Community/Behavioral Health | 649 N Main St, Woodstock, VA 22664 | 2009-12-17 |
| 1851554992 | Joan Manuel Pino | Dentist | 124 Valley Vista Drive, Woodstock, VA 22664 | 2008-07-09 |
| Find all providers in zip 22664 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838804 | Erin Washington | Physician Assistant | 2708 Tallowtree Rd, Woodstock, MD 21163-1462 | 2020-10-15 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1215476098 | Carina C Cardillo | Physician Assistant | 7559 South Main Street, Suite 310, Woodstock, VA 22664 | 2017-02-14 |
| 1659702884 | Dana Dunlap | Physician Assistant | 8814 Hwy 9, 114, Woodstock, GA 30189 | 2013-12-13 |
| 1235432170 | Deidra Dyan Munsanto | Physician Assistant | 12201 Highway 92 Ste D, Woodstock, GA 30188 | 2010-12-15 |
| 1306910187 | Denise Arlen Mcnatt | Physician Assistant | 10413 Saddlebred Trl, Woodstock, IL 60098-8672 | 2006-11-20 |
| 1689633414 | Bruce Alan Cavanaugh | Physician Assistant | 9987 Village Green Dr, Woodstock, MD 21163-1155 | 2006-03-21 |
| 1962484154 | Laura B Vahey | Physician Assistant | 32 Pleasant Street, Woodstock, VT 05091 | 2005-11-15 |
| 1356837348 | Jamie Ailed Quinones-borges | Physician Assistant | 7820 Hickory Flat Hwy, Woodstock, GA 30188-2099 | 2018-07-02 |
| 1841788734 | Christian Smith Galloway | Physician Assistant | 960 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4867 | 2018-04-25 |
| Find all providers in WOODSTOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.